Inspection Report
Complaint Investigation
Census: 68
Deficiencies: 2
Aug 6, 2025
Visit Reason
The inspection was conducted as a complaint survey to investigate allegations related to incident reporting and investigation compliance at Morningstar of Albuquerque.
Findings
The facility failed to report incidents within the required 24-hour timeframe and did not conduct investigations within five business days as required by state regulations. Additionally, the facility failed to secure poisonous or flammable chemicals properly, posing a risk to residents.
Complaint Details
Complaint intake NM was investigated and deficiencies were not cited for the complaint itself, but the facility was found deficient in timely reporting and investigation of incidents.
Deficiencies (2)
| Description |
|---|
| Failure to report incidents to the licensing authority within 24 hours and failure to conduct investigations within five business days. |
| Failure to ensure poisonous or flammable chemicals were stored in a secured area and not in residential areas. |
Report Facts
Census: 50
Census: 18
Incident reports reviewed: 4
Chemicals observed unsecured: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Confirmed untimely reporting and investigation of incidents during interviews | |
| Senior Wellness Director | Confirmed observation of unsecured chemicals in housekeeping cart |
Inspection Report
Complaint Investigation
Census: 71
Deficiencies: 2
Nov 23, 2023
Visit Reason
The inspection was a full onsite complaint survey conducted to investigate multiple complaint intake IDs related to the assisted living facility's compliance with state regulations.
Findings
The facility was found deficient in maintaining operable window screens on multiple windows, posing a risk of injury or illness to residents. Additionally, the facility failed to ensure an annual fire inspection was conducted by the local fire authority, which could result in risk of injury or death in case of fire.
Complaint Details
Multiple complaint intake IDs were investigated with no deficiencies cited for those complaints, but the overall survey identified deficiencies related to window screens and fire inspection compliance.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure all windows had screens in good repair. |
| Facility failed to ensure an annual fire inspection from the local fire authority was conducted. |
Report Facts
Census: 71
Windows without screens: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Confirmed missing window screens and lack of annual fire inspection documentation |
Inspection Report
Complaint Investigation
Census: 75
Deficiencies: 1
Sep 7, 2022
Visit Reason
The inspection was conducted as a complaint survey for multiple complaints regarding the facility's compliance with state regulations for Assisted Living Facilities for Adults.
Findings
The facility failed to submit an Incident Report to the Licensing Authority within 24 hours or the next business day of an incident and failed to submit the investigation follow-up report within 5 business days. This failure could place the 75 residents at risk of harm due to lack of timely reporting and oversight.
Complaint Details
Complaint NM #58848 was unsubstantiated with deficiencies cited. Complaints NM #59569, #48469, #54258, #61121, and #52132 were unsubstantiated with no deficiencies cited. The deficiency related to failure to timely report and investigate an incident involving a resident with a DNR who died after a choking incident.
Deficiencies (1)
| Description |
|---|
| Failure to ensure that an Incident Report was submitted to the Licensing Authority within 24 hours or the next business day of the incident and that the investigation follow-up report was submitted within 5 business days. |
Report Facts
Residents on census: 75
Days for investigation report submission: 5
Hours for incident report submission: 24
Inspection Report
Abbreviated Survey
Deficiencies: 0
Aug 19, 2020
Visit Reason
An Offsite Surveillance survey was conducted related to Covid 19 infection prevention and control.
Findings
No deficiencies were cited during the Offsite Surveillance survey.
Inspection Report
Routine
Deficiencies: 0
Jul 27, 2020
Visit Reason
An Offsite Surveillance survey was conducted related to Covid 19 infection prevention and control.
Findings
No deficiencies were cited during the survey.
Inspection Report
Routine
Deficiencies: 0
Apr 23, 2020
Visit Reason
Offsite Surveillance survey was conducted related to COVID-19 infection prevention and control.
Findings
No deficiencies were cited during the survey.
Inspection Report
Routine
Deficiencies: 0
Apr 2, 2020
Visit Reason
An offsite surveillance survey was conducted related to Covid 19 infection and control.
Findings
No deficiencies were cited during the survey.
Inspection Report
Routine
Deficiencies: 0
Mar 11, 2020
Visit Reason
An Onsite Surveillance survey was conducted related to Covid 19 infection prevention and control.
Findings
No deficiencies were cited during the Covid 19 infection prevention and control survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 3, 2019
Visit Reason
The inspection was conducted as a complaint survey to investigate Complaint Intake NM#37927 regarding compliance with state regulations for assisted living.
Findings
No deficiencies were cited during the complaint survey, and the complaint was found to be unsubstantiated.
Complaint Details
Complaint Intake NM#37927 was unsubstantiated with no deficiencies cited.
Inspection Report
Original Licensing
Deficiencies: 0
Apr 5, 2018
Visit Reason
Initial survey conducted to assess compliance with state requirements for Assisted Living Facilities under 7 NMAC 8.2.
Findings
No deficiencies were cited as a result of the initial survey. The facility was found to be in substantial compliance.
Inspection Report
Life Safety
Deficiencies: 2
Sep 27, 2017
Visit Reason
An initial Life Safety Code survey was conducted at the facility at the provider's request.
Findings
Two deficiencies were identified: the emergency shut off switch on the emergency generator needed to be relocated to the exterior of the housing, and a remote annunciator for the emergency generator needed to be installed at a constantly attended station within the facility. The facility was found in substantial compliance with the Life Safety Code portion of the New Mexico State Requirements for Assisted Living Facilities.
Deficiencies (2)
| Description |
|---|
| Emergency Shut Off Switch on emergency generator shall be relocated to the exterior of the housing, remotely located adjacent to the generator. |
| Remote annunciator for emergency generator shall be installed at a constantly attended station within the facility. |
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